| NPI | 1912142035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY TAGLIONE Billing Co 734-414-0754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301055449) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |